CHANAK CHANTACHOTE M.D. – NPI #1093004384
Surgery

A surgeon with expertise in the management of the critically ill and postoperative patient, particularly the trauma victim, who specializes in critical care medicine diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists.

CHANAK CHANTACHOTE is a surgeon located in NORTHPORT, NY. NPPES has assigned the NPI number 1093004384 to CHANAK CHANTACHOTE on April 07, 2011. It is a Type-1 NPI, indicating this NPI number is associated with an individual. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 2086S0102X from the Health Care Provider Taxonomy code set, which is classified as Surgery, specializing in Surgical Critical Care

The NPI profile was previously updated about 6 years ago on Sep 09, 2020. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for CHANAK CHANTACHOTE below.

NPI Profile for
CHANAK CHANTACHOTE

NPI Number
1093004384
Enumeration Date

(more than 15 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
CHANAK CHANTACHOTE
Credentials
M.D.
Primary location
DEPARTMENT OF SURGERY
79 MIDDLEVILLE RD
NORTHPORT, NY 11725
Phone: (631) 261-4400 Fax:
Mailing address
Same as primary location
Sole Proprietor
No
Updated
Certification Date
Sep 08, 2020

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
2086S0102X
- Surgery / Surgical Critical Care (Primary)
CA A143223
2086S0127X
- Surgery / Trauma Surgery
CA A143223

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.